FAMILY & SPORTS ORTHOPAEDIC CENTER, LLC


Address: 1511 Park Ave, Columbus, WI 53925-2401
Phone: 9206233012

FAMILY & SPORTS ORTHOPAEDIC CENTER, LLC (NPI# 1194984880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194984880
Entity Type Organization
Organization Name FAMILY & SPORTS ORTHOPAEDIC CENTER, LLC
Practice Address 1511 Park Ave
Columbus
WI 53925-2401
Mailing Address 118 W Maple Ave
Beaver Dam
WI 53916-2104
Practice Telephone 9206233012
Mailing Telephone 9203561000
Enumeration Date 2008-06-06
Last Update Date 2011-03-18
Authorized Official Name ROBERT A COE (MEMBER)
Authorized Official Telephone 9203561000
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI DEAN CARE 15104 01
WI DEAN 15909 01
WI PHYSICIANS PLUS 2028274 01
WI PHYSICIANS PLUS 2033322 01
WI 43020200 05
WI 32123200 05
WI WPS 391796912 01
WI 36027400 05
WI PHYSICIAN PLUS 1003837 01
WI DEAN CARE 11801 01
WI BCBS 159462492004 01
WI 30082300 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841451622 Family & Sports Orthopaedic Center, LLC Orthopaedic Surgery 1515 Park Ave, Columbus, WI 53925-1618 2008-06-24
1649430380 Family & Sports Orthopaedic Center, LLC Orthopaedic Surgery 620 W Brown St, Waupun, WI 53963-1702 2008-06-16
1467565978 Family & Sports Orthopaedic Center, LLC Specialist 118 W Maple Ave, Beaver Dam, WI 53916-2104 2006-08-17

Office Location

Street Address 1511 PARK AVE
City COLUMBUS
State WI
Zip Code 53925-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063059558 Katelyn Michele Knapp Dietitian, Registered 1511 Park Ave, Columbus, WI 53925-2401 2019-12-04
1346776523 John M Bohn Pediatrics 1511 Park Ave, Columbus, WI 53925-2401 2017-05-07
1912329335 Prairie Ridge Health, Inc. Surgery 1511 Park Ave, Columbus, WI 53925-2401 2014-01-21
1326324005 St. Marys Dean Ventures, Inc Durable Medical Equipment & Medical Supplies 1511 Park Ave, Columbus, WI 53925-2401 2011-10-26
1912141433 Elizabeth A Larson Family Medicine 1511 Park Ave, Columbus, WI 53925-2401 2009-04-28
1033370085 Aaron H Thornton Nurse Anesthetist, Certified Registered 1511 Park Ave, Columbus, WI 53925-2401 2008-06-23
1831384874 Dawn Marie Faust Nurse Practitioner 1511 Park Ave, Columbus, WI 53925-2401 2007-09-12
1689871451 Rocky Mountain Urology,llc Urology 1511 Park Ave, Suite F, Columbus, WI 53925-2401 2007-06-27
1740343359 Rocky Mountain Urology LLC Urology 1511 Park Ave, Suite F, Columbus, WI 53925-2401 2006-12-18
1548209695 Heidi Hughes Physician Assistant 1511 Park Ave, Columbus, WI 53925-2401 2006-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275833659 Beaver Dam Community Hosptials, Inc. Family Medicine 1580 W James St, Columbus, WI 53925 2010-11-01
1497972749 Droessler Chiropractic Sc Chiropractor 1349 Park Avenue, Columbus, WI 53925 2007-04-19
1164487328 Drs Beck & Becker Sc Dentist 1505 Park Ave., Columbus, WI 53925 2006-04-19
1245864735 Margaret Mary Frank Pharmacist 1500 W James St, Columbus, WI 53925 2020-02-24
1487094686 Tiana M Imhoff Physician Assistant 1515 Park Ave, Columbus, WI 53925 2013-07-02
1821343401 Shopko Stores Operating Co LLC Eyewear Supplier (Equipment, not the service) 200 Commerce Dr, Columbus, WI 53925 2012-07-19
1689987372 Erin Renee Hills Nurse Practitioner 1515 Park Ave, Columbus, WI 53925 2010-07-22
1184723645 James Michael Beck Dentist 1505 Park Ave., Columbus, WI 53925 2006-09-21
1194824649 William James Becker Dentist 1505 Park Ave., Columbus, WI 53925 2006-09-21
1689756157 Walgreen Co Pharmacy 1500 W James St, Columbus, WI 53925-1001 2006-10-20
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164861449 Shawn R Brandenburg Orthopaedic Surgery 4508 38th Street, Suite 133, Columbus, NE 68601-1668 2013-06-19
1346549383 Ohiohealth Corporation Orthopaedic Surgery 340 E Town St Ste 7-600, Columbus, OH 43215-4693 2011-03-16
1952600074 Ohiohealth Corporation Orthopaedic Surgery 5141 W Broad St Ste 150, Columbus, OH 43228-1984 2011-03-16
1528367562 Ohiohealth Corporation Orthopaedic Surgery 5131 Beacon Hill Rd Ste 160, Columbus, OH 43228-4441 2011-03-16
1598063620 Ohiohealth Corporation Orthopaedic Surgery 340 E Town St Ste 7-250, Columbus, OH 43215-4615 2011-03-15
1881927143 Hatheway Orthopaedics Orthopaedic Surgery 720 E. Broad St, Suite 100, Columbus, OH 43215 2009-09-17
1932336997 Tamara N Huff Orthopaedic Surgery 2300 Manchester Expy Ste 101a, Columbus, GA 31904-6802 2009-06-17
1699966044 Ryan M Geringer Orthopaedic Surgery 6262 Veterans Parkway, Columbus, GA 31909-3540 2007-08-09
1427254515 Matthew Edgeley Lovell Orthopaedic Surgery 940 North Marr, Suite C, Columbus, IN 47201 2007-06-25
1659405793 Kenny B Edwards Orthopaedic Surgery 670 Leigh Drive, Columbus, MS 39705 2007-03-14
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Competitor

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City COLUMBUS
Zip Code 53925

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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